Individual
GUNNAR EASTON KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-2661
(336) 679-7056
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-01994
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
08/12/2021
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